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1700632536
JOELLE DESTINY ORTIZ
POMONA, CA
NPI
1700632536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-04-24
Last Update Date
2024-12-23
Business Address
JOELLE DESTINY ORTIZ
845 E ARROW HWY
POMONA, CA 91767-2535
Phone number: 909-624-1233
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Mailing Address
JOELLE DESTINY ORTIZ
1302 E KINGSLEY AVE APT 29
POMONA, CA 91767-5170
Phone number: 909-242-5613
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